Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,122.02 / $1,122.02	Facility		$1,122.02	$1,122.02	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,071.52 / $1,202.26 / $3,090.30	Professional		$1,071.52	$1,202.26	$3,090.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,630.27 / $2,951.21 / $3,715.35	Professional		$2,630.27	$2,951.21	$3,715.35
Medica Facility/Professional Facility Modifier Low / Median / High Price $1,548.82 / $1,819.70 / $3,388.44	Facility		$1,548.82	$1,819.70	$3,388.44
Medica Facility/Professional Professional Modifier Low / Median / High Price $1,174.90 / $2,187.76 / $10,000.00	Professional		$1,174.90	$2,187.76	$10,000.00
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,238.72 / $2,630.27	Professional		$2,089.30	$2,238.72	$2,630.27
Midlands Facility/Professional Professional Modifier Low / Median / High Price $2,089.30 / $2,089.30 / $2,089.30	Professional		$2,089.30	$2,089.30	$2,089.30
Sanford Health Plan Facility/Professional Professional Modifier Low / Median / High Price $1,412.54 / $2,238.72 / $2,691.53	Professional		$1,412.54	$2,238.72	$2,691.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $1,995.26	Facility		$1,995.26	$1,995.26	$1,995.26
United Facility/Professional Professional Modifier Low / Median / High Price $1,230.27 / $2,187.76 / $2,951.21	Professional		$1,230.27	$2,187.76	$2,951.21
Wellmark Facility/Professional Professional Modifier Low / Median / High Price $1,737.80 / $2,041.74 / $2,137.96	Professional		$1,737.80	$2,041.74	$2,137.96